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| Tuesday, November 10, 2009 |
Fat In Japan? You're Breaking The Law
By Paul Hsieh, MD @ 10:15 AM 
In the November 10, 2009 Global Post, David Nakamura describes the Japanese anti-obesity laws in his article, "Fat In Japan? You're Breaking The Law".
Here's an excerpt:...Under Japan's health care coverage, companies administer check-ups to employees once a year. Those who fail to meet the waistline requirement must undergo counseling. If companies do not reduce the number of overweight employees by 10 percent by 2012 and 25 percent by 2015, they could be required to pay more money into a health care program for the elderly. An estimated 56 million Japanese will have their waists measured this year.
...Health care costs here are projected to double by 2020 and represent 11.5 percent of gross domestic product. That’s why some health experts support the metabo law. (Read the full text of "Fat In Japan? You're Breaking The Law".)
Such nanny-state regulations are already present to a lesser degree in the United States. If we adopt some form of "universal health care", we can expect to see them explode in scope and number.
As I described in my January 7, 2009 Christian Science Monitor piece, "Universal Healthcare and the Waistline Police":...Government attempts to regulate individual lifestyles are based on the claim that they must limit medical costs that would otherwise be a burden on "society." But this issue can arise only in "universal healthcare" systems where taxpayers must pay for everyone's medical expenses.
[Specific US nanny-state health regulation examples omitted...]
Just as universal healthcare will further fuel the nanny state, the nanny state mind-set helps fuel the drive toward universal healthcare. Individuals aren't regarded as competent to decide how to manage their lives and their health. So the government provides "cradle to grave" coverage of their healthcare.
Nanny state regulations and universal healthcare thus feed a vicious cycle of increasing government control over individuals. Both undermine individual responsibility and habituate citizens to ever-worsening erosions of their individual rights. Both promote dependence on government. Both undermine the virtues of independence and rationality. Both jeopardize the very foundations of a free society. The US will soon have to decide whether we will base our health care policy on the principle of individual rights or a collectivist model, as in Japan.
For our sakes, I hope we won't be "turning Japanese".Labels: Countries, Japan
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| Monday, February 9, 2009 |
Coverage vs. Care in Japan
By Paul Hsieh, MD @ 12:05 AM 
Japan's universal health care system supposedly guarantees "coverage" for all residents. However, theoretical coverage isn't the same thing as actual medical care, as this unfortunate man found out:Injured man dies after rejection by 14 hospitals
After getting struck by a motorcycle, an elderly Japanese man with head injuries waited in an ambulance as paramedics phoned 14 hospitals, each refusing to treat him.
He died 90 minutes later at the facility that finally relented -- one of thousands of victims repeatedly turned away in recent years by understaffed and overcrowded hospitals in Japan.
Paramedics reached the accident scene within minutes after the man on a bicycle collided with a motorcycle in the western city of Itami. But 14 hospitals refused to admit the 69-year-old citing a lack of specialists, equipment and staff, according to Mitsuhisa Ikemoto, a fire department official.
The Jan. 20 incident was the latest in a string of recent cases in Japan in which patients were denied treatment, underscoring health care woes in a rapidly aging society that faces an acute shortage of doctors and a growing number of elderly patients. Nor is the problem one that would be solved by imposing a law like the US EMTALA statutes which force hospitals to accept and stabilize emergency patients. In the US, this has creating yet more overcrowding of emergency room. EMTALA has also driven away physicians from working at these hospitals. What cardiologist or neurosurgeon wants to take ER call if he isn't compensated for any care he delivers, but can still be sued for any alleged malpractice?
Instead, Japan's problems are more systemic and "is nearing collapse". When people are told they have a "right" to care without limit, costs will also rise without limit. Soon, the only alternative will be rationing, as is already commonplace in other countries like Canada and the UK.
Will the US be next?
(Via Gus Van Horn.)Labels: Countries, Japan
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| Tuesday, June 17, 2008 |
Government Medical System in Japan Requires Mandatory Waistline Checks
By Paul Hsieh, MD @ 12:05 AM 
According to the June 13, 2008 New York Times, government officials in Japan have instituted a mandatory program where all men and women between ages 40 and 74 must have their waistlines measured and recorded by the government. The purpose of this program is to reduce costs from obesity-related health conditions, because the government health system must pay the bills:Under a national law that came into effect two months ago, companies and local governments must now measure the waistlines of Japanese people between the ages of 40 and 74 as part of their annual checkups. That represents more than 56 million waistlines, or about 44 percent of the entire population.
...To reach its goals of shrinking the overweight population by 10 percent over the next four years and 25 percent over the next seven years, the government will impose financial penalties on companies and local governments that fail to meet specific targets. The country’s Ministry of Health argues that the campaign will keep the spread of diseases like diabetes and strokes in check.
The ministry also says that curbing widening waistlines will rein in a rapidly aging society's ballooning health care costs, one of the most serious and politically delicate problems facing Japan today. Most Japanese are covered under public health care or through their work. The government limits are very strict -- "33.5 inches for men and 35.4 inches for women" -- literally a "one-size-fits-all" standard.
One Japanese man did express his disdain for the new regulations:...Kenzo Nagata, 73, a toy store owner, said he had ignored a letter summoning him to a so-called special checkup. His waistline was no one's business but his own, he said, though he volunteered that, at 32.7 inches, it fell safely below the limit. He planned to disregard the second notice that the city was scheduled to mail to the recalcitrant.
"I'm not going," he said. "I don't think that concerns me." Once a government starts violating individual rights by creating a "universal" health care system, this inevitably leads to further infringements of individual rights. This is not unique to Japan.
For instance, universal health care in Great Britain has led to infringements on the right to free speech. In 2007, the British government banned television stations from playing classic 1950's-era humorous advertisements encouraging people to have an egg for breakfast, on the grounds that "the ads do not encourage healthy eating".
When a government has to pay for everyone's health care, it will naturally demand a say in whether people are leading a "sufficiently healthy" lifestyle, as defined by the government.
Colorado writer Steve Schweitzberger made a similar point in this June 30, 2007 letter to the Rocky Mountain News, referring to universal health care advocate and filmmaker Michael Moore:If Michael Moore has a toothache, it is not my responsibility to pay for his dentistry. If it were, then I would have the right to tell him not to eat sweets. I don't want that kind of government-paid medical policy. Do you? This is a question that all America should be asking.Labels: Countries, Japan, UK
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